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Saudi Journal of Medical and Pharmaceutical Sciences (SJMPS)
Volume-10 | Issue-12 | 1011-1020
Review Article
Optimizing the Technologist's Role in the "Golden Hour" of Trauma Care: A Narrative Review
Faridah Ahmed Mohammad Baraqaan, Raed Mesfer Alzahrani, Mashraf Salam Alrawili, Abdulrahim Hassan Almalki, Ahmed Sanhat Alharbi, Yasir lnad Dhaher Alanazi, Almd Muteb O Alblawi, Mohammed Faleh M Albalawi, Ebrahem Salem Suleman Al Hassani, Mohammed Saad F Alrefaie, Thamer Marzouq AlBalawi, Abdullah Mohammed Almehmadi, Hatim Maqpoul Alkhaldi, Nawaf Yahya Aljohani, Hassan Mabrok Ali Alnahdi
Published : Dec. 30, 2024
DOI : DOI: https://doi.org/10.36348/sjmps.2024.v10i12.021
Abstract
This narrative review synthesizes the existing literature to define and optimize the distinct and coordinated roles of allied health technologists during the critical initial phase of trauma care. The analysis is framed within the modern interpretation of the "Golden Hour" not as a literal 60-minute timeframe, but as a guiding principle of urgency that demands rapid, parallel, and protocol-driven actions to save life and limb. Through a narrative review of peer-reviewed literature, clinical guidelines, and professional standards focusing on adult trauma care in Level I and II trauma centers, this paper examines the contributions of a spectrum of specialists: Emergency Medical Technicians (EMTs), Medical Laboratory Technicians, Radiology Technologists, Anesthesia Technologists, Pharmacy Technicians, and Dental Assistants. The key finding of this review is the identification of a complex system of interdependent, time-sensitive tasks performed by these technologists, which collectively form the diagnostic and preparatory foundation for all definitive surgical and medical interventions. A central theme emerges wherein the efficiency and success of the entire trauma response are contingent on the seamless communication and coordination between these technologist specialties. The review concludes that the "Golden Hour" is saved not only by the visible leadership of physicians and nurses but by the rapid, highly coordinated, and often unseen efforts of this multidisciplinary technologist team. Consequently, this paper advocates for greater institutional recognition of these essential roles, the development of integrated, technologist-inclusive trauma protocols, and the mandatory inclusion of all relevant technologist specialties in high-fidelity interdisciplinary trauma simulations to enhance system-wide performance and improve patient outcomes.
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